Logo image
Candidate Gene Analyses of Skeletal Variation in Malocclusion
Journal article   Open access   Peer reviewed

Candidate Gene Analyses of Skeletal Variation in Malocclusion

C S G da Fontoura, S F Miller, G L Wehby, B A Amendt, N E Holton, T E Southard, V Allareddy and L M Moreno Uribe
Journal of dental research, Vol.94(7), pp.913-920
07/2015
DOI: 10.1177/0022034515581643
PMCID: PMC4530344
PMID: 25910506
url
https://doi.org/10.1177/0022034515581643View
Published (Version of record) Open Access

Abstract

This study evaluated associations between craniofacial candidate genes and skeletal variation in patients with malocclusion. Lateral cephalometric radiographs of 269 untreated adults with skeletal classes I, II, and III malocclusion were digitized with 14 landmarks. Two-dimensional coordinates were analyzed using Procrustes fit and principal component (PC) analysis to generate continuous malocclusion phenotypes. Skeletal class classifications (I, II, or III) were used as a categorical phenotype. Individuals were genotyped for 198 single-nucleotide polymorphisms (SNPs) in 71 craniofacial genes and loci. Phenotype-genotype associations were tested via multivariate linear regression for continuous phenotypes and multinomial logistic regression for skeletal malocclusion class. PC analysis resulted in 4 principal components (PCs) explaining 69% of the total skeletal facial variation. PC1 explained 32.7% of the variation and depicted vertical discrepancies ranging from skeletal deep to open bites. PC1 was associated with a SNP near PAX5 (P = 0.01). PC2 explained 21.7% and captured horizontal maxillomandibular discrepancies. PC2 was associated with SNPs upstream of SNAI3 (P = 0.0002) and MYO1H (P = 0.006). PC3 explained 8.2% and captured variation in ramus height, body length, and anterior cranial base orientation. PC3 was associated with TWIST1 (P = 0.000076). Finally, PC4 explained 6.6% and detected variation in condylar inclination as well as symphysis projection. PC4 was associated with PAX7 (P = 0.007). Furthermore, skeletal class II risk increased relative to class I with the minor alleles of SNPs in FGFR2 (odds ratio [OR] = 2.1, P = 0.004) and declined with SNPs in EDN1 (OR = 0.5, P = 0.007). Conversely, skeletal class III risk increased versus class I with SNPs in FGFR2 (OR 2.2, P = 0.005) and COL1A1 (OR = 2.1, P = 0.008) and declined with SNPs in TBX5 (OR = 0.5, P = 0.014). PAX5, SNAI3, MYO1H, TWIST1, and PAX7 are associated with craniofacial skeletal variation among patients with malocclusion, while FGFR2, EDN1, TBX5, and COL1A1 are associated with type of skeletal malocclusion.
Cephalometry - methods Humans Mandible - pathology Middle Aged PAX7 Transcription Factor - genetics Malocclusion, Angle Class III - genetics Young Adult Anatomic Landmarks - pathology Collagen Type I - genetics Malocclusion, Angle Class II - pathology Adult Malocclusion, Angle Class I - pathology Nuclear Proteins - genetics Snail Family Transcription Factors Malocclusion, Angle Class I - genetics Genetic Association Studies PAX5 Transcription Factor - genetics Open Bite - genetics Genotype Image Processing, Computer-Assisted - methods Transcription Factors - genetics DNA-Binding Proteins - genetics Overbite - genetics T-Box Domain Proteins - genetics Malocclusion, Angle Class III - pathology Phenotype Malocclusion, Angle Class II - genetics Adolescent Twist-Related Protein 1 - genetics Myosin Type I Polymorphism, Single Nucleotide - genetics Zinc Fingers - genetics Aged Receptor, Fibroblast Growth Factor, Type 2 - genetics

Details

Metrics

Logo image